Dealership Application Home Dealership Application Dealership Application GENERAL DETAILS Full Name Contact No. Email Address City/Town State Pin code COMPANY DETAILS Firm Name Business Address City/Town Pin code State Contact No. Email Establishment Year GSTIN Firm Type Sole Proprietorship Partnership LLP Private Limited Public Limited No. of Employees No. of Sales Staff Annual Turnover Godown Space Admin / Office Space Currently Doing Business Tile Adhesive Waterproofing Paints Contractor Others Current Clientele Sub-Dealers Retail Customers Projects-Retail Projects-Infra Brands Associated With Sub-Dealer Network Yes No No. of Sub-dealers Cities / Towns Servicing DEALERSHIP INTERESTS Location Product Category Waterproofing Reinforcement Products Tile and Stone Adhesives Dealership Category Project Dealer Retail Dealer Both Willing to do Investment ₹ 2.00 to 5.00 Lakhs ₹ 5.00 to 10.00 Lakhs > ₹ 10.00 Lakhs Source of Funds Self-Financed Bank Loan Other Sources If qualified, by when will you begin Immediate Within 3 Months After 3 Months Refundable Deposit Product Category Deposit ✔ Dealership Category Deposit ✔ Waterproofing ₹ 10,000.00 ✔ Project ₹ 7,500.00 ✔ Reinforcement Products ₹ 5,000.00 ✔ Retail ₹ 7,500.00 ✔ Tile & Stone Adhesives ₹ 10,000.00 ✔ Both ₹ 11,000.00 ✔ For confirmation of Interest: Amount Date Cheque No. Bank Branch Upload Cheque Image SUBMIT
